MAM ENTERPRISES LLC NPI 1487473062

NPI Information

  • NPI: 1487473062
  • Provider Name: MAM ENTERPRISES LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • :
  • Address: 175 CORPORATE CENTER DR STE B
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (404) 663-0109

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NPI Details

MAM ENTERPRISES LLC is a psychiatric/mental health nurse practitioner in Stockbridge, GA. MAM ENTERPRISES LLC NPI is 1487473062. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

175 CORPORATE CENTER DR STE B
STOCKBRIDGE, GA
ZIP 30281-382
Phone: (404) 663-0109

The provider's authorized official is Christina Mcqueen .
The authorized official title is Nurse Practitioner and has the following contact phone number (404) 663-0109.

The enumeration date for this NPI number is 10/9/2024 and was last updated on 9/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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